Throughout the early decades of the century, the vast majority of patent applications for artificial breasts stressed design. For instance, the essence of Helen Perl's 1944 application was her idea regarding the sewing and manufacture of the part. As suggested in her title "Pattern and Method of Forming Breast Forms," she offered direction to individuals who might make this form. As she instructed, a form could be made by:

Like Perl, throughout the early decades of the century most inventors imagined their product as a means to breast augmentation and thereby a product to enhance beauty. Inventors that recognized a postsurgical application for their design usually described the medical application as an addendum that expanded the purpose of their augmentation product. Claims of medical application for the breast form tended to focus on the shape of the form and assertions that the invention offered a more realistic breast replacement for women whose breast had been amputated.